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EASTRIDGE FAMILY DENTAL
NPI 1700297967
Dentist - General Practice in Kent, WA

Active since May 09, 2014
24837 104TH AVE SE, 103, KENT, WA 98030(253) 277-2620(253) 277-2659 Get Directions Write a Review

NPPES record last updated: May 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastridge Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTRIDGE FAMILY DENTAL (NPI 1700297967) is a healthcare organization registered as a general practice in Kent, Washington and active in the NPI registry since May 2014. The organization lists Jayanthi Bantwal, Dentist, as its authorized official.

NPPES Registry Identity

NPI1700297967
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEASTRIDGE FAMILY DENTAL
Location Address24837 104TH AVE SE, 103Kent, WA 98030-6800
Mailing Address24837 104th Ave Se, 103Kent, WA 98030-6800 · (253) 277-2620 · Fax (253) 277-2659
Phone(253) 277-2620
Fax(253) 277-2659
Organization SubpartNo
Authorized OfficialJayanthi BantwalDentist · (253) 277-2620
Enumeration DateMay 9, 2014
✔ NPI 1700297967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · 9467
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
24837 104TH AVE SE, Kent, WA 98030
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. STEPHANIE LOUISE GREENREICH D.C.
Chiropractor
24837 104TH AVE SE, SUITE 100
KENT, WA 98030
King County (253) 854-7700
MR. JEREMY EDWARD HYDE L.M.P.
Massage Therapist
24837 104TH AVE SE, STE 100
KENT, WA 98030
King County (253) 854-7700
EAST HILL FOOT AND ANKLE CLINIC
Podiatrist (Foot & Ankle Surgery)
24837 104TH AVE SE, 101
KENT, WA 98030
King County (253) 859-1112
MS. DONNA MANZO LMP
Massage Therapist
24837 104TH AVE SE, SUITE 100
KENT, WA 98030
King County (253) 854-7700
CHILDREN'S DENTAL CARE
Dentist (Orthodontics and Dentofacial Orthopedics)
24837 104TH AVE SE, STE 200
KENT, WA 98030
King County (253) 850-1234
BRIAN J BUSSARD DC
Chiropractor
24837 104TH AVE SE, SUITE 100
KENT, WA 98030
King County (253) 854-7700
STEPHANIE POLLOCK, INC.
Chiropractor
24837 104TH AVE SE, SUITE 100
KENT, WA 98030
King County (253) 854-7700
CLARISSA ASENATH LIVINGSTON LMP
Massage Therapist
24837 104TH AVE SE, SUITE 100
KENT, WA 98030
King County (253) 854-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastridge Family Dental's NPI number?

The NPI number for Eastridge Family Dental is 1700297967. It was assigned to this organization in the NPPES registry on May 9, 2014.

Where is Eastridge Family Dental located?

Eastridge Family Dental is located at 24837 104th Ave SE 103, Kent, WA 98030. The listed phone number is (253) 277-2620.

What is Eastridge Family Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Eastridge Family Dental was last updated on May 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.